Wholelife Authentic Care Provider Network
NPI 1386200889ActiveOrganization· General Practice· Fort Worth, TX
General Practice in Fort Worth, Texas, registered in NPPES in May 2019. The authorized official on file is Nicole Havrilla, Board President.
Overview
| NPI | 1386200889 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2019 |
| Last updated in NPPES | Jun 10, 2022 |
| Certified by provider | Jun 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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